Abstract
Background To examine (1) changes in parent (global psychological distress, trait anxiety) and family (dysfunction, burden) functioning following 12 weeks of child-focused anxiety treatment, and (2) whether changes in these parent and family factors were associated with child's treatment condition and response. Methods Participants were 488 youth ages 7-17 years (50% female; mean age 10.7 years) who met DSM-IV-TR criteria for social phobia, separation anxiety, and/or generalized anxiety disorder, and their parents. Youth were randomly assigned to 12 weeks of "Coping Cat" individual cognitive-behavioral therapy (CBT), medication management with sertraline (SRT), their combination (COMB), or medication management with pill placebo (PBO) within the multisite Child/Adolescent Anxiety Multimodal Study (CAMS). At pre-and posttreatment, parents completed measures of trait anxiety, psychological distress, family functioning, and burden of child illness; children completed a measure of family functioning. Blinded independent evaluators rated child's response to treatment using the Clinical Global Impression-Improvement Scale at posttreatment. Results Analyses of covariance revealed that parental psychological distress and trait anxiety, and parent-reported family dysfunction improved only for parents of children who were rated as treatment responders, and these changes were unrelated to treatment condition. Family burden and child-reported family dysfunction improved significantly from pre-to posttreatment regardless of treatment condition or response. Conclusions Findings suggest that child-focused anxiety treatments, regardless of intervention condition, can result in improvements in nontargeted parent symptoms and family functioning particularly when children respond successfully to the treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 865-872 |
| Number of pages | 8 |
| Journal | Depression and Anxiety |
| Volume | 30 |
| Issue number | 9 |
| DOIs | |
| State | Published - Sep 2013 |
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Keywords
- child anxiety
- cognitive-behavioral therapy
- family functioning
- family outcomes
- parent anxiety
- parent psychopathology
- pharmacotherapy
- randomized controlled trial
- treatment
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
Cite this
Benefits of child-focused anxiety treatments for parents and family functioning. / Keeton, Courtney; Ginsburg, Golda S.; Drake, Kelly; Sakolsky, Dara; Kendall, Philip C.; Birmaher, Boris; Albano, Anne Marie; March, John S.; Rynn, Moira; Piacentini, John; Walkup, John T.
In: Depression and Anxiety, Vol. 30, No. 9, 09.2013, p. 865-872.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Benefits of child-focused anxiety treatments for parents and family functioning
AU - Keeton, Courtney
AU - Ginsburg, Golda S.
AU - Drake, Kelly
AU - Sakolsky, Dara
AU - Kendall, Philip C.
AU - Birmaher, Boris
AU - Albano, Anne Marie
AU - March, John S.
AU - Rynn, Moira
AU - Piacentini, John
AU - Walkup, John T.
PY - 2013/9
Y1 - 2013/9
N2 - Background To examine (1) changes in parent (global psychological distress, trait anxiety) and family (dysfunction, burden) functioning following 12 weeks of child-focused anxiety treatment, and (2) whether changes in these parent and family factors were associated with child's treatment condition and response. Methods Participants were 488 youth ages 7-17 years (50% female; mean age 10.7 years) who met DSM-IV-TR criteria for social phobia, separation anxiety, and/or generalized anxiety disorder, and their parents. Youth were randomly assigned to 12 weeks of "Coping Cat" individual cognitive-behavioral therapy (CBT), medication management with sertraline (SRT), their combination (COMB), or medication management with pill placebo (PBO) within the multisite Child/Adolescent Anxiety Multimodal Study (CAMS). At pre-and posttreatment, parents completed measures of trait anxiety, psychological distress, family functioning, and burden of child illness; children completed a measure of family functioning. Blinded independent evaluators rated child's response to treatment using the Clinical Global Impression-Improvement Scale at posttreatment. Results Analyses of covariance revealed that parental psychological distress and trait anxiety, and parent-reported family dysfunction improved only for parents of children who were rated as treatment responders, and these changes were unrelated to treatment condition. Family burden and child-reported family dysfunction improved significantly from pre-to posttreatment regardless of treatment condition or response. Conclusions Findings suggest that child-focused anxiety treatments, regardless of intervention condition, can result in improvements in nontargeted parent symptoms and family functioning particularly when children respond successfully to the treatment.
AB - Background To examine (1) changes in parent (global psychological distress, trait anxiety) and family (dysfunction, burden) functioning following 12 weeks of child-focused anxiety treatment, and (2) whether changes in these parent and family factors were associated with child's treatment condition and response. Methods Participants were 488 youth ages 7-17 years (50% female; mean age 10.7 years) who met DSM-IV-TR criteria for social phobia, separation anxiety, and/or generalized anxiety disorder, and their parents. Youth were randomly assigned to 12 weeks of "Coping Cat" individual cognitive-behavioral therapy (CBT), medication management with sertraline (SRT), their combination (COMB), or medication management with pill placebo (PBO) within the multisite Child/Adolescent Anxiety Multimodal Study (CAMS). At pre-and posttreatment, parents completed measures of trait anxiety, psychological distress, family functioning, and burden of child illness; children completed a measure of family functioning. Blinded independent evaluators rated child's response to treatment using the Clinical Global Impression-Improvement Scale at posttreatment. Results Analyses of covariance revealed that parental psychological distress and trait anxiety, and parent-reported family dysfunction improved only for parents of children who were rated as treatment responders, and these changes were unrelated to treatment condition. Family burden and child-reported family dysfunction improved significantly from pre-to posttreatment regardless of treatment condition or response. Conclusions Findings suggest that child-focused anxiety treatments, regardless of intervention condition, can result in improvements in nontargeted parent symptoms and family functioning particularly when children respond successfully to the treatment.
KW - child anxiety
KW - cognitive-behavioral therapy
KW - family functioning
KW - family outcomes
KW - parent anxiety
KW - parent psychopathology
KW - pharmacotherapy
KW - randomized controlled trial
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=84883653694&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84883653694&partnerID=8YFLogxK
U2 - 10.1002/da.22055
DO - 10.1002/da.22055
M3 - Article
C2 - 23390005
AN - SCOPUS:84883653694
VL - 30
SP - 865
EP - 872
JO - Depression and Anxiety
JF - Depression and Anxiety
SN - 1091-4269
IS - 9
ER -